LAUREN D BOUWMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013040

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

BOUWMAN

Business Name

LAUREN D BOUWMAN

Original Issue Date

05/07/2002

Effective Date

10/03/2016

Expiration Date

09/30/2018

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

12/05/2018